en Health Health Original Research Original Research <p><strong>Background: </strong>There is mixed evidence about food insecurity and overweight/obesity coexisting, however it is unclear about association between food insecurity and weight status in people with type 2 diabetes. Therefore, the aim of this study was to evaluate the relationship between food insecurity and weight status in individuals with type 2 diabetes in rural areas in Iran.<br> <strong>&nbsp;&nbsp; Methods:</strong> 1847 patients with type 2 diabetes who were residence in rural areas completed Household Food Security Scale (six-item short questionnaire). Logistic regression model was applied to assess the independent effect of food insecurity on weight status.<br> <strong>&nbsp;&nbsp; Results: </strong>Mean age of the study population was 62.6&plusmn;11.8 years, and the majority of them were female (70.4%). Most of the study population (70.4%) had unhealthy weight status. Food insecurity affected more than 46% (n=852) of the households of the study population. According to weight status, more than 40% (n=565) of overweight and obese subjects and 60% (n=18) of underweight subjects lived in households with food insecurity. The results of multiple logistic regression model showed that food insecurity was not an independent significant predictor of overweight or obesity in patients with type 2 diabetes. However, low food security (LFS) was an independent significant predictor for underweight in patients with type 2 diabetes (OR=2.35, P=0.041).<br> <strong>&nbsp;&nbsp; Conclusion:</strong> It is concluded that food insecurity was frequent in all levels of weight status of patients with type 2 diabetes in rural regions. &nbsp;However this association observed in underweight individuals but there was no significant overall relationship between household food insecurity and in overweight and obesity in this group of patients.<br> &nbsp;</p> Food insecurity, Underweight, Overweight, Obesity, Type 2 diabetes 908 914 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1510-3&slc_lang=en&sid=1 Ali Gholami aagholami80@yahoo.com 200319475328460035677 200319475328460035677 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Farhad Moradpour farhadmepid@yahoo.com 200319475328460035678 200319475328460035678 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran & Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. Maryam Khazaee-Pool khazaie_m@yahoo.com 200319475328460035679 200319475328460035679 No Department of Health Education and Promotion, School of Health, Zanjan Universi-ty of Medical Sciences, Zanjan, Iran. Zahra Moosavi Jahromi zahramusavi_j@yahoo.com 200319475328460035680 200319475328460035680 No Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran & School of Public Health, Zabol University of Medical Sciences, Zabol, Iran. MohammadReza Vafa rezavafa@yahoo.com 200319475328460035681 200319475328460035681 No Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Abbas Abbasi Gharemanlo abbasi.abbas49@yahoo.com 200319475328460035682 200319475328460035682 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran & Department of Epidemiology, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran. Masoudreza Sohrabi 200319475328460035683 200319475328460035683 No Gastrointestinal & Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran. Nader Mahdavi nmahdavi24@yahoo.com 200319475328460035684 200319475328460035684 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Yousef Moradi yousefmoradi211@yahoo.com 200319475328460035685 200319475328460035685 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Hamid Reza Baradaran baradaran.hr@iums.ac.ir 200319475328460035686 200319475328460035686 No Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.